Healthcare Provider Details

I. General information

NPI: 1124225248
Provider Name (Legal Business Name): ALI ALHOUSSEINI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ALI AL-HOUSSEINI M.D.

II. Dates (important events)

Enumeration Date: 07/02/2007
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18181 OAKWOOD BLVD STE 306
DEARBORN MI
48124-3998
US

IV. Provider business mailing address

26901 BEAUMONT BLVD STE 3D
SOUTHFIELD MI
48033-3849
US

V. Phone/Fax

Practice location:
  • Phone: 313-593-7521
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number4301107334
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberN7201
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number77667
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number102951
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: